Paratracheal Radiolucency as a Sign of Tracheal Disruption After Heart-Lung Transplantation

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SummaryFocal mediastinal radiolucency to the immediate left of the distal part of the trachea was evident on a frontal chest radiograph 12 days after heart-lung transplantation in a 31-year-old woman. Bronchoscopy revealed ulcerating necrosis immediately distal to the tracheal anastomosis. We conclude that chest radiography may show focal mediastinal air as the first sign of anastomotic necrosis of a major airway after lung transplantation.

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